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2. Form-A & Undertaking A should be signed by the Member of BSE or any of Partners.
In case of a Corporate Member Form A & Undertaking A should be signed by the
designated director or director or authorized signatory and a copy of the board
resolution for authorizing them to sign the above forms and undertaking should be
enclosed with every application.
4. In case of Partnership Firm, the applicant is required to fill up Form A, Form C and
annexure for each partner and enclosed Certified True copy of Partnership Deed.
6. Certified True Copy (ANY ONE ) : Passport, Driving License, Ration Card, Voters
Identity Card, Copy of Income tax return of applicant or for each Partner of applicant
who want to become remisiers. Certification can be done by Chartered Accountant or
Member of the Exchange or Partner/ Designated Director of Member Company or
Special Executive Magistrate.
7. Specify the nature of business in present occupation in Form B and also fill up all the
particulars as applicable. Both Undertaking A and Undertaking B are required to
submitted.
Important Note
Member/applicant are required to read the form carefully and also go through
Rules, Regulations and Byelaws of the Bombay Stock Exchange Ltd. related to
Remisier before appointing /applying for Remisier Registration.
FORM A
Form for Approval of Appointment of Remisier
(To be filled in by the Member)
Address :
Clearing No :
Date :
The Secretary,
Bombay Stock Exchange Ltd.,
Mumbai.
Sir,
I/We declare that all particulars and information given in the enclosed form duly filled in
by my/our abovementioned remisier are true and correct.
Yours faithfully,
1. Name :
2. Trade Name :
Please attach
3. Address, Telephone/Fax Numbers : latest photograph
& SIGN on the
(a) Residence : photograph
(b) Mobile :
(c) Office :
4. Date of Birth :
6. Educational Qualification :
7. Present Occupation :
11. A attested copy of any one of the following proofs of identity should be submitted:
14. I shall not issue contracts, bills or any confirmation memo for shares and
securities in my own name.
15. I have read the present Rules, Byelaws and Regulations of the Exchange &
undertake to abide by them & any modifications/amendments thereof.
16. I undertake that if any claim or dispute arises between us in respect of any
transactions, contracts, etc. entered into, with or through him/on account of my
clients or in relation to any stock exchange matter during my continuance as a
Remisier of ............................................................……………………………..……
I shall be bound to refer the same to Arbitration as per the Rules, Bye-Laws,
Regulations and conventions of BSE which are applicable to Remisiers and that
any decision in such Arbitration shall be final and binding on me.
The information furnished above is true to the best of my knowledge and belief, and I
undertake to inform you of any change therein immediately in writing.
5. Particulars of the Bank A/c from which the Firm will carry out the transactions :
Name of Broker :
Name of Exchange :
10. We shall not issue contracts, Bills or any confirmation memo for shares and
securities in our own name.
11. We have read the present Rules, Byelaws and Regulations of the Exchange and
undertake to abide by them and any modifications / amendments thereof.
12. We undertake that if any claim or dispute arises between us in respect of any
transactions, contracts, etc. entered into, with or through them on account of our
clients or in relation to any stock exchange matter during our continuance as a
Remisier of .................................................………..... ............................................
We shall be bound to refer it to Arbitration as per the Rules, Byelaws and
Regulations and conventions of BSE, which are applicable to Remisiers that any
decision in such Arbitration shall be final and binding on us.
The information furnished above is true to the best of our knowledge and belief, and we
undertake to inform you of any change therein immediately in writing.
Date : Name :
4. Date of Birth :
5. Present Occupation :
8. A certified copy of any one of the following proofs of identity should be submitted :
9. State any other relevant information, which in your opinion, should be disclosed to the
Exchange :
10. I have read the present Rules, Byelaws and Regulations of the Exchange and
undertake to abide by them and any modifications / amendments thereof.
The information furnished above is true to the best of our knowledge and belief, and I
undertake to inform you of any change therein immediately in writing.
Signature of Partner
DISCHARGE CERTIFICATE
(On the letterhead of the member for cancellation of Remisiership)
Address :
Clearing No :
Date :
The Secretary,
Bombay Stock Exchange Ltd.,
Mumbai.
Sir,
As per the rules of the Exchange, I/We hereby advise that Mr./Ms./M/s .
……………………………………….has voluntarily ceased to be my/our Remisier.
I/We have no claim against him/her/their firm and I/We have no objection to any other
BSE Member employing him/her/them as a Remisier.
Yours faithfully,
To,
The Secretary,
Bombay Stock Exchange Ltd.,
Mumbai.
As per the Rules, Regulations & Bye-laws of BSE, I/We hereby engage
Mr./Ms./M/s..................................................………………. as our Remisier. I/We
hereby declare that all particulars and information furnished by Mr./Ms./M/s.
…..................………........................... in the enclosed Remisier Application Form is
verified by me/us and found to be true & correct. I/we hereby undertake to inform you of
any change in the details mentioned by Mr./Ms./M/s............…......... ..............................
……………………………… immediately in writing.
I have read the present Rules, Byelaws and Regulations of BSE and I undertake to
abide by them and any modification/amendment thereof.
Designation : _______________
(Member/Partner/Designated Director)
Date ____/_____/______
(DD / MM /Year)
Undertaking : B
To
Name of the Member :
Address :
Clearing No :
Further, I /We hereby declare that myself or ourselves or any partner or any director of
the organization have not ever been suspended, expelled or declared a defaulter by
BSE or by any other stock exchange or by SEBI or any other Regulatory Authorities and
I/we have not been convicted of and presently not on trial for any offence involving fraud
or dishonesty.
Further, I /We hereby declare that I /We have read and understood the present Rules,
Bye-laws and Regulations of BSE pertaining to Remisiers and undertake to abide by
them and any modifications / amendments thereof.
Date ____/_____/______
(DD / MM /Year)
UNDERTAKING
(ON LETTER HEAD OF MEMBER)
In case of non-compliance by us, BSE may take disciplinary action as per the Rules,
Byelaws and Regulation of BSE.
Signature of
Proprietor / Partner / Director
(with rubber stamp)
Date :